Active NPI
Christa Samuels, MS, NCC, LPC
- Professional Counselor
- Columbia, SC
National Provider Identifier
1235920604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 10968
- Practice address
- 1545 Legrand Rd
Columbia, SC 29223-6310 - Phone
- (803) 619-0423
- NPI assigned
- May 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 10968 | SC | Primary |
Addresses
Primary practice location
1545 Legrand Rd
Columbia, SC 29223-6310
Mailing address
449 Pond Bluff Rd
North, SC 29112-8903
Phone (803) 308-5081
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10968 | SC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1235920604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 POND BLUFF RD",
"city": "NORTH",
"state": "SC",
"postal_code": "291128903",
"telephone_number": "803-308-5081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 LEGRAND RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292236310",
"telephone_number": "803-619-0423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUELS",
"first_name": "CHRISTA",
"name_prefix": "Mrs.",
"credential": "MS, NCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-15",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "10968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.